Tenn. Comp. R. & Regs. 0940-05-18-.05 - INDIVIDUAL PLAN OF CARE (IPC) REQUIREMENTS FOR CRISIS STABILIZATION UNIT FACILITIES

(1) A plan must be developed for each service recipient. The plan must be based on initial and on-going assessment of need, designed to resolve the immediate psychiatric crisis, and be completed within six (6) hours of admission. The IPC must be documented in the service recipient's record and must include the following:

(a) The service recipient's name.

(b) The date of plan development.

(c) Standardized diagnostic formulation(s) including, but not limited to the current Diagnostic and Statistical Manual (DSM) and/or current International Statistical Classification of Diseases and Related Health Problems (ICD);

(d) Problems and strengths of the service recipient that are to be addressed.

(e) Observable and measurable individual objectives that relate to the specific problems identified.

(f) Interventions that address specific objectives, identify staff responsible for interventions, and planned frequency.

(g) Signatures of treatment staff responsible for developing plan, including qualified prescriber;

(h) Signature of service recipient (and/or parent/guardian, conservator, legal custodian or attorney-in-fact). Reasons for refusal to sign and/or inability to participate in IPC development must be documented.

(i) A projected discharge date and anticipated post discharge needs including documentation of resources needed in the community.

(j) A review of the IPC must occur at least daily or upon completion of the stated goal(s) and objective(s) and must include the following documentation:

1. Dated signature(s) of appropriate treatment staff, including qualified prescriber.

2. Progress toward each treatment objective, with revisions as indicated;

3. Status of discharge plans, including availability of resources needed in the community, with revisions as indicated; and

4. A statement by the staff psychiatrist or physician of justification for the level of service(s) needed including an assessment of suitability for treatment in a less restrictive environment.

Notes

Tenn. Comp. R. & Regs. 0940-05-18-.05

Original rule filed May 26, 1988; effective July 11, 1988. Amendment filed September 4, 2003; effective November 18, 2003. Amendments filed July 31, 2008; effective October 14, 2008.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, 33-2-302 and 33-2-404.